NPI | 1548923030 |
---|---|
Doing Business As | SOUTHERN REGIONAL OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | SARAH A ROWAN Pharmacy Supervisor 770-991-8066 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2021-10-21 |
Last Update Date | 2021-10-21 |